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Individual

CORINNE SROYKUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
897 E CASA BLANCO AVE, MIDVALE, UT 84047-2866
(801) 706-0095
Mailing address
897 E CASA BLANCO AVE, MIDVALE, UT 84047-2866
(801) 706-0095

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5984278-4701
UT

Other

Enumeration date
04/03/2017
Last updated
04/03/2017
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